Individual
BILL FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
709 E GLENN AVE, AUBURN, AL 36830-5016
(334) 226-7222
Mailing address
709 E GLENN AVE, AUBURN, AL 36830-5016
(334) 226-7222
(334) 887-5656
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
1921
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1921
LICENSE NUMBER
AL
01
—
511-53809
BCBS
AL
Enumeration date
09/12/2014
Last updated
01/07/2025
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